BACKGROUND OF THE INVENTION
1. Field of the Invention
[0001] This invention relates to a method and apparatus for improving performance of an
over-the-needle catheter by using a flexible catheter.
2. Description of the Related Art
[0002] An over-the-needle catheter is a surgical device for insertion into the tissues of
a body cavity. A needle and a concentric outer catheter are inserted into the vein
of a patient. After insertion, the needle is withdrawn through the emplaced catheter.
Fluids can be introduced or removed through the catheter. The problem of providing
constant flow of fluids through a catheter after insertion of the catheter into the
body while providing patient comfort during administration of the intended medicament
has persisted in the medical community.
[0003] A typical catheter assembly is described in U.S. Patent No. 4,747,831 for enhancing
patient comfort during insertion of the catheter. In this assembly, a catheter cannula
fits snugly, but removably, onto the forwardly projecting part of a needle. The cannula
is made of a biologically inert, but very slippery material for ease of insertion
of the cannula into the patient. It is disclosed that Teflon is the material used
for forming the cannula.
[0004] One conventional solution for improving flow of fluids through a catheter while reducing
patient discomfort during insertion of the catheter is to use an expandable catheter.
U.S. Patent No. 5,061,254 describes a catheter formed of hydrophilic thermoplastic
elastomeric polyurethane tubing. A small gauge size catheter can be inserted into
the patient. When the catheter comes into contact with a body fluid, such as blood,
it absorbs water and expands to a larger gauge size. The larger gauge size of the
catheter allows for increased flow of fluids through the catheter.
[0005] Prior art catheters have the disadvantage that the catheter can become deformed or
kinked if the patient moves after the catheter is inserted in the vein. It is typical
to move the patient to change the patient's clothes and linens. Also, with portable
intravenous (I.V.) units, the patient may walk around after insertion of the catheter.
Patient movement disturbs the site of insertion of the catheter and applies angular
pressure to the end of the catheter adjacent to the catheter hub. One conventional
solution for preventing movement of the catheter, after insertion of the catheter
into the patient, is to elaborately tape the catheter to the arm of the patient. However,
even with h taping of the catheter in place, the patient's movements can still deform
the catheter.
[0006] If the catheter becomes deformed, fluids can be partially or fully restricted from
flowing through the catheter. It is often necessary to re-tape the catheter to try
to straighten out a deformed catheter. However, reinsertion of the needle into the
catheter can cause severance of the catheter. In the alternative, a needle of a replacement
over-the-needle catheter can be reinserted into the patient in order to resume flow
of fluids to the patient. Reinsertion of the needle causes additional discomfort to
the patient.
[0007] Of possible general relevance to the invention are U.S. Patent Nos.: 4,850,961; 4,964,854;
and 5,000,740 which describe assemblies for over-the-needle catheters.
[0008] A practical solution to the problem of maintaining constant flow through a catheter
after insertion of the catheter is not found in the prior art.
SUMMARY OF THE INVENTION
[0009] Briefly described, the present invention relates to a flexible catheter for improving
the performance of an over-the-needle catheter. A flexible section of the catheter
is preferably positioned at the end of the catheter adjacent to the catheter hub.
Preferably, the flexible section is formed by partial compression of the catheter
during molding or extrusion of the catheter, thereby forming ridges in the catheter.
Upon angular movement of the catheter, the portion of the catheter between the ridges
expands to provide support to the catheter and to maintain a constant inner diameter
of the catheter. An elastic material can be used to form the flexible section for
allowing the catheter to return to a straightened position after flexing of the flexible
section. The flexible catheter can flex up to an angle of 180° from the point of insertion
into the patient. The flexible catheter has the advantage of increasing performance
of the catheter by maintaining constant flow of fluids through the catheter.
BRIEF DESCRIPTION OF THE DRAWINGS
[0010]
Fig. 1 is a side elevational view of a prior art over-the-needle catheter.
Fig. 2 is a side elevational view of an over-the-needle catheter assembly of the present
invention.
Fig. 3 is a cross sectional view of the catheter of the present invention shown in
Fig. 2.
Fig. 4 is a side elevational view of flexible portion of the catheter of the present
invention.
Fig. 5 is a side elevational view of the catheter of the present invention after insertion
of the catheter into the arm of a patient.
DETAILED DESCRIPTION OF THE INVENTION
[0011] During the course of this description like numbers will be used to identify like
elements according to the different figures which illustrate the invention.
[0012] Fig. 1 is a side elevational view of a prior art catheter assembly 10. Catheter 10
can be of the type described in U.S. Patent No. 5,000,740. Catheter 10 includes a
needle housing 20 which is semi-tubular in shape. Molded on the sides of needle housing
20 are finger grips 22. At a distal end of catheter housing 20, catheter 14 extends
from catheter hub 16 and is concentric therewith. Preferably, catheter hub 16 is hollow.
A larger diameter proximal portion 18 of catheter hub 16 is coupled to needle housing
20. Needle 12 is concentric with catheter 14 and can be moved between a use position
23 for inserting needle 12 into the patient and a storage position 21 in housing 20
after needle 12 is inserted into a patient. A point of needle 12 extends from catheter
14 during insertion of catheter 14 into the patient. After insertion of the catheter,
catheter 14 can be bent or deformed if the patient moves. When catheter 14 is bent
or deformed, inner diameter D
1 of catheter 14 is reduced.
[0013] Fig. 2 illustrates a catheter assembly 30 in accordance with the principals of the
present invention. Catheter 32 includes flexible section 34. Preferably, flexible
section 34 is positioned at the end 33 of catheter 32 adjacent to catheter hub 16.
The length of flexible section 34 is dependent on the length of catheter 32 wherein
a longer catheter will have a longer flexible section. The length of flexible section
34 is typically defined as about 0.1 inches to about 5.0 inches and the length of
catheter 32 is generally about 0.5 inches to about 10 inches. It will be appreciated
that the length of the flexible section and the length of the catheter can vary depending
on the intended use of the catheter.
[0014] Catheter 32 is preferably attached to catheter hub 16 by means of a metal eyelet
40 to provide a compression fit between catheter 32 and catheter hub 16, as shown
in Fig. 3. In the alternative, catheter 32 can be attached by an adhesive to catheter
hub 16. It will be appreciated that other means of attachment of the catheter to the
catheter hub can be used. Alternatively, catheter 32 can be integral with catheter
hub 16.
[0015] Flexible section 34 is preferably formed by partial compression of catheter 32 during
molding or extrusion of the catheter. In the alternative, flexible section 34 can
be formed as a subsequent operation after forming catheter 38. Heat can be applied
to catheter 32 for aiding compression of the catheter. After compression, ridges 33
are formed in flexible section 34. Upon angular movement of end 42 of catheter 32,
ridges 33 and the portion of the catheter 35 positioned between ridges 33 expands.
Ridges 33 provide support to flexible section 34 without collapsing inner diameter
D
2 of flexible section 34, as shown in Fig. 4.
[0016] Catheter 32 can be formed of an elastic or a ductile material. An elastic material
allows catheter 32 to return to a straightened position after flexing of flexible
section 34. A ductile material allows catheter 32 to remain in a fixed position after
flexing of flexible section 34. Preferably, catheter 32 is a hollow tubular molded
polyurethane resin. In the alternative, catheter 32 can be formed ofTefion@, which
is a registered trademark of Dupont, Dover, Delaware. It will be appreciated to those
skilled in the art that other materials could be used for forming catheter 32.
[0017] Fig. 5 illustrates catheter assembly 30 after insertion into patient 36 at insertion
site 38. Flexible section 34 allows catheter 32 to flex when angular pressure is applied
to catheter 32 without constricting inner diameter D
2 of catheter 32. Flexible section 34 preferably can flex up to an angle of 180° from
the point of insertion of the catheter into the patient at insertion site 38. Flow
of fluids through catheter 32 remains constant after flexible section 34 is flexed.
[0018] The present invention has the advantage of increasing performance of an over-the-needle
catheter and increasing patient comfort during use of the catheter. If a patient moves
resulting in the catheter placement moving, the catheter of the present invention
flexes to maintain constant flow of fluids through the catheter. The catheter is more
stable after insertion into the patient and does not require extensive taping to prevent
movement of the catheter. Accordingly, the catheter reduces the need for reinsertion
of the catheter.
[0019] While the invention has been described with reference to the preferred embodiment,
this description is not intended to be limiting. It will be appreciated by those of
ordinary skill in the art that modifications may be made without departing from the
spirit and scope of the invention.
1. An over-the-needle catheter for inserting into a patient to allow fluid to flow
into or from a body cavity of said patient comprising:
said catheter attached to a hollow catheter hub and including a flexible section;
and
a hollow needle concentric with said catheter and extending from one end thereof for
piercing said patient and inserting said catheter in place within the body of said
patient;
said hollow needle movable into said hollow catheter hub during use of said catheter,
wherein said flexible section flexes during use of said catheter upon movement of
said patient, thereby maintaining constant flow of said fluid through said catheter.
2. The over-the-needle catheter of claim 1 wherein said flexible section flexes up
to about 180 degrees from the point of insertion of said catheter in said patient.
3. The over-the-needle catheter of claim 2 wherein said catheter has an inner diameter
D2 and said inner diameter D2 of the catheter is substantially constant after flexing of said flexible section.
4. The over-the-needle catheter of claim 3 wherein said flexible section is formed
by compression during molding of said catheter to form ridges in said catheter, said
ridges and the portion of said catheter between said ridges expanding when said catheter
is flexed.
5. The over-the-needle catheter of claim 4 wherein said flexible section is positioned
adjacent the end of said catheter attached to said catheter hub.
6. The over-the-needle catheter of claim 1 wherein said catheter is integral with
said catheter hub.
7. Acatheterforinserting into a patient to allow fluid to flow into or from a body
cavity of said patient comprising:
said catheter attached to a hollow catheter hub and including a flexible section,
wherein said flexible section flexes during use of said catheter upon movement of
said patient, thereby maintaining constant flow of said fluid through said catheter.
8. The catheter of claim 7 wherein said flexible section flexes up to about 180 degrees
from the point of insertion of said patient.
9. The catheter of claim 8 wherein said catheter has an inner diameter D2 and said
inner diameter D2 of the catheter is substantially constant afterflex- ing of said
flexible section.
10. The catheter of claim 9 wherein said flexible section is formed by compression
during molding of said catheter to form ridges in said catheter, said ridges and the
portion of said catheter between said ridges expanding when said catheter is flexed.